Tara Carney
Datos Biográficos
| ID | 304734 |
|---|---|
| NOMBRE | Tara Carney |
| NOMBRES | Tara |
| APELLIDO | Carney |
| FIRMA | CARNEY T |
| AFILIACIONES | South African Medical Research Council |
| ORCID | 0000-0001-5400-0565 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 37 |
| TOTAL DE CITAS | 24 |
| TOTAL COMO AUTOR | 34 |
| TOTAL COMO EDITOR | 3 |
| PRIMER AÑO DE PUBLICACIÓN | 2005 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Psychological Distress and Coping Strategies Among South Africans During Covid-19 Lockdowns
This study explores psychological distress and coping strategies among South African adults (median age of 38; IQR = 28–50) during the COVID-19 pandemic lockdown regulations through a rapid online survey ( N = 851). More than half (55.23%) of the participants reported psychological distress, namely high levels of anxiety and depression, with almost half of this group (47.02%) at risk of severe psychological disorder. Binary logistic regression in…
From courtroom to clinic
The decriminalisation of cannabis for private use has impacted treatment demand for cannabis use and the need for specialist substance use treatment among adolescents in South Africa. Legislation and amendments thereof must consider the specific vulnerabilities associated with this population, and the recent decriminalisation of cannabis should also be further explored
The feasibility of respondent-driven sampling with people who use drugs in rural Western Cape, South Africa
The Western Cape is South Africa’s epicentre for tuberculosis (TB) and smoked drug use such as methamphetamine and methaqualone (Mandrax). Despite this, there are limited studies on people who smoke drugs (PWSD) with TB disease in South Africa, partly due to recruitment challenges. Respondent-driven sampling (RDS) is a network-based sampling method used to recruit such key populations. The aim of this qualitative study is to explore the appropria…
“They call us amaphara (junkies)”
Stigma acts as a barrier to the diagnosis and effective treatment of tuberculosis (TB). Individuals with TB who also use alcohol or drugs (AODs), including methamphetamine, may experience intersectional stigma. Further, the nature and intensity of these intersecting stigmas may be compounded by co-morbidities like HIV and marginalized social status. Despite this, AOD use stigma has rarely been studied in the context of TB and other co-occurring c…
Participant perspectives on incentives for TB preventative therapy adherence and reduced alcohol use
Economic incentives to promote health behavior change are highly efficacious for substance use disorders as well as increased medication adherence. Knowledge about participants’ experiences with and perceptions of incentives is needed to understand their mechanisms of action and optimize future incentive-based interventions. The Drinkers’ Intervention to Prevent Tuberculosis (DIPT) trial enrolled people with HIV (PWH) in Uganda with latent tuberc…
Outcomes of substance use and sexual power among adolescent girls and young women in Cape Town
Adolescent girls and young women (AGYW) in South Africa experience contextual barriers to HIV risk reduction including incomplete schooling, unintended pregnancy, substance use, and gender-based violence. A cluster randomised trial in Cape Town allocated 24 Black and Coloured communities to a gender-focused HIV risk-reduction intervention or HIV testing, with 500 AGYW total enrolled. We evaluated intervention efficacy by comparing mean difference…
Patient and provider perceptions of the relationship between alcohol use and TB and readiness for treatment
Findings support strengthening accessible, specialized services for the identification and provision of interventions and psychosocial services for unhealthy alcohol use among those with TB
Relationship Between Criminal and Status Offense Behaviors, Substance Use, and HIV Risk Among Adolescent Girls and Young Women in Cape Town, South Africa
This study aimed to examine the relationship between externalizing behaviors, substance use, and sexual risk among adolescent girls and young women (AGYW) in Cape Town, South Africa, who experience social disadvantage characterized by poverty and school dropout. We analyzed baseline data from 500 AGYW in a cluster-randomized trial who had dropped out of school. Multivariate logistic regression models explored associations between self-reported cr…
Binge drinking and condom negotiation behaviours among adolescent girls and young women living in Cape Town, South Africa
ClinicalTrials.gov Identifier: NCT02974998 (recruitment completed). 29/11/2016
Nurturing families
Alcohol and Other Drug (AOD) exposure during pregnancy is linked to serious adverse child outcomes, including Fetal Alcohol Spectrum Disorder (FASD). The Parent-Child Assistance Program (PCAP) supports women with problematic AOD use, who are pregnant or have young children, and are not effectively engaging with services. PCAP has been shown to reduce alcohol exposed pregnancies, promote AOD abstinence, increase employment and family planning and …
Perspectives of frontline health workers on transition from development assistance for health in Ghana
Many Low-income countries depend on development assistance for health (DAH) to finance the health sector. The transition of these countries to middle-income status has led to reduction in effective aid from development partners while these countries are expected to graduate from global funding agencies such as Gavi the vaccine alliance, with implications for service delivery. The aim of this study was to explore the perspectives of frontline heal…
‘We have goals but [it is difficult]’. Barriers to antiretroviral therapy adherence among women using alcohol and other drugs living with HIV in South Africa
BACKGROUND: Women living with HIV who misuse alcohol and live in economically disadvantaged settings in South Africa experience a multitude of contextual barriers as they navigate the HIV care continuum. The Women's Health CoOp (WHC), a brief, woman-focused, behavioural, evidence-based intervention, has been shown to be effective in reducing heavy drinking and improving HIV-related outcomes among this key population. However, these women face oth…
“Because all mothers is not the same”
INTRODUCTION: South Africa has one of the highest incidences of HIV among adolescent girls and young women (AGW), ages 15-24, and recent research has focused on developing interventions for HIV prevention. However, the South African National Health Act requires those under 18 years of age to obtain a guardian's permission to participate in research. Limiting research enrolment to AGYW who can obtain guardian consent may lead to non-representative…
Alcohol and Tobacco Use in a Tuberculosis Treatment Cohort during South Africa’s Covid-19 Sales Bans
From these observations, we hypothesize that policies restricting alcohol and tobacco availability seem to enable some individuals to reduce their consumption. However, these appear to have little effect on the volume of AA consumed among individuals with more harmful patterns of drinking in the absence of additional behavior change interventions
The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South …
Although physical and sexual abuse exposure is a well-established risk for poor health, the dimensions of abuse associated with health among socially vulnerable adolescent girls and young women (AGYW) remain underexamined. This article describes associations between combinations of abuse type and timing with mental health, substance use, and sexual risk outcomes among a sample of 499 AGYW (aged 16 to 19) who had left school early and were recruit…
Factors associated with current substance use among a sample of homeless individuals in Cape Town, South Africa
Homelessness is a global issue that is often associated with substance use. Research on this relationship in low- to middle-income countries (LMIC) is limited. We aimed to explore which factors are associated with substance use through secondary data analysis of a sample of 472 adults who attended services for homeless individuals in Cape Town, South Africa. Logistic regression was utilized to investigate if length of homelessness was associated …
Acceptability and feasibility of a brief substance use intervention for adolescents in Cape Town, South Africa
Substance use is prevalent among South African adolescents, but few interventions exist to reduce risk of harm. This study assesses the feasibility, acceptability and preliminary effects of a brief intervention for reducing adolescent substance use and other risk behaviours. This single‐arm feasibility test recruited 30 substance‐using adolescents and their primary caregiver. Participants received separate interventions (2 sessions for adolescent…
A Qualitative Study of caregiver’s Perceptions and Needs Around Adolescent Substance Use and Other Risk Behaviours
Service providers’ perceptions of barriers to the implementation of trauma-focused substance use services for women in Cape Town, South Africa
Adolescent female school dropouts who use drugs and engage in risky sex
Female adolescents from socioeconomically underserved communities in Cape Town, South Africa, who have dropped out of school, use substances, and engage in risky sex behaviour are at risk of HIV. Tailored gender-focused HIV behavioural interventions for this key population are needed to mitigate these risk factors. A pilot trial of a woman-focused risk-reduction intervention for adolescents was conducted (N = 100), with a one-month follow-up appo…
A Model of Heterosexual Adaptive Relationship Functioning in South Africa
Objectives: Couple-based HIV prevention efforts are an important HIV prevention strategy in South Africa but there is a lack of understanding as to what constitutes healthy relationships in South African sociodisadvantaged communities. Methods: To address this, 8 focus group discussions were conducted with 27 men and 23 Black African women living in a large disadvantaged community in Cape Town, South Africa. Results: A model of adaptive relations…
The Young Women’s Health CoOp in Cape Town, South Africa
Trial registration no: NCT02974998 , November 29, 2016
Changing sex risk behaviors, gender norms, and relationship dynamics among couples in Cape Town, South Africa
Reducing substance use and risky sexual behaviour among drug users in Durban, South Africa
Alcohol and other drug (AOD) use is increasingly recognised as having a direct and indirect effect on the transmission of human immunodeficiency virus (HIV). However, there is evidence to suggest that drug- and sex-related HIV risk-reduction interventions targeted at drug users within drug treatment centres or via community outreach efforts can lead to positive health outcomes. This study aimed to test whether a community-level intervention aimed…
Not on the agenda”
Prejudice and Social Contact in South Africa
In this article the relationship between intergroup contact and racial prejudice in formerly segregated schools in Cape Town, South Africa, is investigated. A total of 1 119 black African, coloured, Afrikaans-speaking and English-speaking white learners were surveyed, using three measures of intergroup prejudice, a self-report intergroup contact measure and a racial identification scale. In general, quality of contact with individuals of other ra…
Rapid assessment of drug use and sexual HIV risk patterns among vulnerable drugusing populations in Cape Town, Durban and Pretoria, South Africa
This exploratory study examines the links between drug use and high-risk sexual practices and HIV in vulnerable drug-using populations in South Africa, including commercial sex workers (CSWs), men who have sex with men (MSM), injecting drug users (IDUs) and non-injecting drug users who are not CSWs or MSM (NIDUs). A rapid assessment ethnographic study was undertaken using observation, mapping, key informant interviews and focus groups in known 'h…
Changing sex risk behaviors, gender norms, and relationship dynamics among couples in Cape Town, South Africa
Prejudice and Social Contact in South Africa
In this article the relationship between intergroup contact and racial prejudice in formerly segregated schools in Cape Town, South Africa, is investigated. A total of 1 119 black African, coloured, Afrikaans-speaking and English-speaking white learners were surveyed, using three measures of intergroup prejudice, a self-report intergroup contact measure and a racial identification scale. In general, quality of contact with individuals of other ra…
Rapid Assessment of HIV Risk Behavior in Drug Using Sex Workers in Three Cities in South Africa
Rapid assessment of drug use and sexual HIV risk patterns among vulnerable drugusing populations in Cape Town, Durban and Pretoria, South Africa
This exploratory study examines the links between drug use and high-risk sexual practices and HIV in vulnerable drug-using populations in South Africa, including commercial sex workers (CSWs), men who have sex with men (MSM), injecting drug users (IDUs) and non-injecting drug users who are not CSWs or MSM (NIDUs). A rapid assessment ethnographic study was undertaken using observation, mapping, key informant interviews and focus groups in known 'h…
Opportunities for enhancing and integrating HIV and drug services for drug using vulnerable populations in South Africa
Exploring the Intersecting Health Risks of Substance Abuse, Sexual Risk, and Violence for Female South African Teen Dropouts
The study sought to better understand the cultural contexts of the risks for adolescent females who have dropped out of school. Focus groups were conducted with 37 Black and Coloured females aged 13 to 17 in Cape Town, South Africa. Data were analysed using content analysis. Methamphetamine, cannabis, and alcohol were used by both, however, Black teens also used methaqualone and Coloured teens used heroin and ecstasy. Some teens traded sex for dr…
Ethnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa
Findings support the need to develop and test AOD risk reduction interventions for women from both ethnic groups. In addition, findings point to the need for tailored interventions that target the distinct profiles of AOD use and AOD-related sex risks for HIV among Black African and Coloured women
Substance use, gender inequity, violence and sexual risk among couples in Cape Town
Alcohol and other drug use, gender power inequities and violence are key contributors to sexual risks for HIV among South African men and women. Little is known about the intersection between these sex-risk behaviours among couples in established heterosexual relationships. We conducted 10 focus-group discussions with men and women in relationships of 1 year or longer recruited from shebeens (informal taverns) in Cape Town, South Africa. Particip…
Alcohol and drug use outcomes among vulnerable women living with HIV
Alcohol and other drug use can negatively affect adherence to and retention in antiretroviral therapy (ART) among people living with HIV/AIDS. Yet, there are few brief interventions that reduce these behaviors among this population. This article presents the findings from a randomized field experiment that assessed the effects of a woman-focused intervention (the Women's Health CoOp [WHC]) on reducing alcohol and other drug use among vulnerable w…
Contextualizing gender differences and methamphetamine use with HIV prevalence within a South African community
Findings from this study underscore the need for policy makers to direct scarce resources to the communities, places within communities, and populations, especially vulnerable women, where the impact on HIV prevention and onward transmission will be greatest
The prevalence of risk for mental health problems among high school students in the Western Cape Province, South Africa
The aim of this article is to describe the prevalence of risk for developing mental health problems in a large survey of high school students in the Western Cape Province in South Africa. The study population comprised students in Grades 8, 9, and 10 attending public schools in the Western Cape Province. Schools were randomly sampled proportional to total school size (all grades). A total of 227 schools and a total of 20,855 students completed th…
Sexual HIV risk among substance-using female commercial sex workers in Durban, South Africa
This study examined data collected from a sample of female sex workers (FSWs) during the first two years of a brief risk-reduction intervention for vulnerable populations that focused on substance use and HIV risk-related behaviours (2007-2009) as part of a rapid assessment and response evaluation study. In 2007, in collaboration with a local non-governmental organisation (NGO), an initiative was begun to roll out targeted harm reduction strategi…
Not on the agenda”
Ithubalethu-Intervention to Address Drug Use and Sexual HIV Risk Patterns among Female Commercial Sex Workers in Durban, South Africa
Previous research shows that interventions aimed at female sex workers (FSWs) can be successful in reducing HIV risk behavior. The current study evaluated a specific HIV prevention intervention for substance-using FSWs in Durban, South Africa by comparing such behaviors before and after the intervention. The intervention was provided by trained outreach workers by an organization that worked with FSWs, and consisted of community-based outreach, H…
Reducing substance use and risky sexual behaviour among drug users in Durban, South Africa
Alcohol and other drug (AOD) use is increasingly recognised as having a direct and indirect effect on the transmission of human immunodeficiency virus (HIV). However, there is evidence to suggest that drug- and sex-related HIV risk-reduction interventions targeted at drug users within drug treatment centres or via community outreach efforts can lead to positive health outcomes. This study aimed to test whether a community-level intervention aimed…
A Model of Heterosexual Adaptive Relationship Functioning in South Africa
Objectives: Couple-based HIV prevention efforts are an important HIV prevention strategy in South Africa but there is a lack of understanding as to what constitutes healthy relationships in South African sociodisadvantaged communities. Methods: To address this, 8 focus group discussions were conducted with 27 men and 23 Black African women living in a large disadvantaged community in Cape Town, South Africa. Results: A model of adaptive relations…
The Young Women’s Health CoOp in Cape Town, South Africa
Trial registration no: NCT02974998 , November 29, 2016
Changing sex risk behaviors, gender norms, and relationship dynamics among couples in Cape Town, South Africa
Adolescent female school dropouts who use drugs and engage in risky sex
Female adolescents from socioeconomically underserved communities in Cape Town, South Africa, who have dropped out of school, use substances, and engage in risky sex behaviour are at risk of HIV. Tailored gender-focused HIV behavioural interventions for this key population are needed to mitigate these risk factors. A pilot trial of a woman-focused risk-reduction intervention for adolescents was conducted (N = 100), with a one-month follow-up appo…
Acceptability and feasibility of a brief substance use intervention for adolescents in Cape Town, South Africa
Substance use is prevalent among South African adolescents, but few interventions exist to reduce risk of harm. This study assesses the feasibility, acceptability and preliminary effects of a brief intervention for reducing adolescent substance use and other risk behaviours. This single‐arm feasibility test recruited 30 substance‐using adolescents and their primary caregiver. Participants received separate interventions (2 sessions for adolescent…
A Qualitative Study of caregiver’s Perceptions and Needs Around Adolescent Substance Use and Other Risk Behaviours
Service providers’ perceptions of barriers to the implementation of trauma-focused substance use services for women in Cape Town, South Africa
“Because all mothers is not the same”
INTRODUCTION: South Africa has one of the highest incidences of HIV among adolescent girls and young women (AGW), ages 15-24, and recent research has focused on developing interventions for HIV prevention. However, the South African National Health Act requires those under 18 years of age to obtain a guardian's permission to participate in research. Limiting research enrolment to AGYW who can obtain guardian consent may lead to non-representative…
Alcohol and Tobacco Use in a Tuberculosis Treatment Cohort during South Africa’s Covid-19 Sales Bans
From these observations, we hypothesize that policies restricting alcohol and tobacco availability seem to enable some individuals to reduce their consumption. However, these appear to have little effect on the volume of AA consumed among individuals with more harmful patterns of drinking in the absence of additional behavior change interventions
The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South …
Although physical and sexual abuse exposure is a well-established risk for poor health, the dimensions of abuse associated with health among socially vulnerable adolescent girls and young women (AGYW) remain underexamined. This article describes associations between combinations of abuse type and timing with mental health, substance use, and sexual risk outcomes among a sample of 499 AGYW (aged 16 to 19) who had left school early and were recruit…
Factors associated with current substance use among a sample of homeless individuals in Cape Town, South Africa
Homelessness is a global issue that is often associated with substance use. Research on this relationship in low- to middle-income countries (LMIC) is limited. We aimed to explore which factors are associated with substance use through secondary data analysis of a sample of 472 adults who attended services for homeless individuals in Cape Town, South Africa. Logistic regression was utilized to investigate if length of homelessness was associated …
Medicine (32 obras) · Psychiatry (27 obras) · Environmental health (22 obras) · HIV/AIDS Research and Interventions (21 obras) · Psychological intervention (20 obras) · Family medicine (17 obras) · Psychology (17 obras) · Adolescent Sexual and Reproductive Health (15 obras) · HIV, Drug Use, Sexual Risk (14 obras) · Demography (12 obras)